Cpmg-andover Park Clinic - Primary Care in Andover, MN

Cpmg-andover Park Clinic is a primary clinic (Clinic/center - Multi-specialty) in Andover, Minnesota. The current practice location for Cpmg-andover Park Clinic is 13819 Hanson Blvd Nw, Andover, Minnesota. For appointments, you can reach them via phone at (763) 572-5710. The mailing address for Cpmg-andover Park Clinic is 6401 University Ave Ne, Fridley, Minnesota and phone number is (763) 572-5710.

Cpmg-andover Park Clinic is licensed to practice in Minnesota (license number ) and its NPI number is 1639274160. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (763) 572-5710.

Contact Information

Cpmg-andover Park Clinic
13819 Hanson Blvd Nw
Andover
MN 55304-7608
(763) 572-5710
(763) 862-4415

Primary Care Clinic Profile

Full NameCpmg-andover Park Clinic
SpecialityClinic/center - Multi-specialty
Location13819 Hanson Blvd Nw, Andover, Minnesota
Authorized Official Name and PositionJoen V Condon (CHIEF FINANCIAL OFFICER)
Authorized Official Contact7635865839
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cpmg-andover Park Clinic
6401 University Ave Ne
Fridley
MN 55432-4341

Ph: (763) 572-5710
Cpmg-andover Park Clinic
13819 Hanson Blvd Nw
Andover
MN 55304-7608

Ph: (763) 572-5710

NPI Details:

NPI Number1639274160
Provider Enumeration Date09/13/2006
Last Update Date11/13/2007

Medical Identifiers

Medical identifiers for Cpmg-andover Park Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639274160NPI-NPPES
02071BROtherMNBCBS
CT1003OtherMNMEDICARE RAILROAD
UC0003OtherMNUCARE URGENT CARE
54814OtherMNHEALTHPARTNERS
122190OtherMNUCARE MN
98-66092OtherMNMEDICA URGENT CARE
98-00470OtherMNMEDICA NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (Minnesota)Primary

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